Madison Patrice Maciejewski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 Tri-State International Dr
Suite 135
Lincolnshire, IL 60069

Phone

(847) 607-1520

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1093555492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N 2075 EAST RD",
            "city": "DOWNS",
            "state": "IL",
            "postal_code": "617367520",
            "telephone_number": "309-825-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TRI-STATE INTERNATIONAL DR",
            "address_2": "SUITE 135",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-607-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEJEWSKI",
        "first_name": "MADISON",
        "middle_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Long
• Alberto Lopez Deschamps
• Shonali Prakash Lothe
• Julie-Ann Kirsten Love-Richardson, LPC
• Luxottica of America Inc. (Lenscrafters #5615)
• Mafolux Healthcare Services LLC (Mafolux Healthcare Services)
• Jan-Lok Deborah Mak, OTR/L
• Junaid A Makda, M.D
• Richard Allen Margolin, D.O.
• Maria J. Mynatt, MD, PLLC

• Mental Health Counselor in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.